Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.71 / $123.03 / $194.98	Professional		$104.71	$123.03	$194.98
Cigna Facility/Professional Facility Modifier Low / Median / High Price $109.65 / $109.65 / $109.65	Facility		$109.65	$109.65	$109.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $81.28 / $117.49	Professional		$81.28	$81.28	$117.49
Moda Health Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $223.87 / $223.87	Facility		$56.23	$223.87	$223.87
Moda Health Facility/Professional Professional Modifier Low / Median / High Price $169.82 / $223.87 / $537.03	Professional		$169.82	$223.87	$537.03
Premera BCBS Facility/Professional Facility Modifier Low / Median / High Price $154.88 / $223.87 / $234.42	Facility		$154.88	$223.87	$234.42
Premera BCBS Facility/Professional Professional Modifier Low / Median / High Price $181.97 / $223.87 / $229.09	Professional		$181.97	$223.87	$229.09
Providence Facility/Professional Facility Modifier Low / Median / High Price $56.23 / $56.23 / $218.78	Facility		$56.23	$56.23	$218.78
Providence Facility/Professional Professional Modifier Low / Median / High Price $60.26 / $109.65 / $165.96	Professional		$60.26	$109.65	$165.96
United Facility/Professional Facility Modifier Low / Median / High Price $87.10 / $87.10 / $100.00	Facility		$87.10	$87.10	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.20 / $173.78 / $575.44	Professional		$112.20	$173.78	$575.44